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MICROBIOLOGY-8


MICROBIOLOGY-8


حالة سريرية

الوصف الكامل Background
A pig farmer visits his doctor with muscle aches, fever, and periorbital and facial edema.
These Symptoms were preceded 2 weeks earlier by an upset stomach and diarrhea.
Blood labs show eosinophilia, high IgE and, muscle enzymes.
What is the diagnosisQuestion What is the treatmentQuestion There is another investigation could be made, what is itQuestion

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رجل مربي خنازير جاء إلى طبيبه وهو يعاني من آلام عضلية وحمى و وذمة وجه وأجفان .
هذه الأعراض سبقت قبل أسبوعين بــاضطرابات هضمية و اسهال.
الفحوض الدموية أظهرت ارتفاع في الحمضات والـIgE والانزيمات العضلية.
ما هو التشخيص Question وما هو العلاج Question هناك استقصاء آخر يمكن اجراؤه ما هو Question

Cool

SAMO's picture
by
السنة الخامسة

This patient has Trichinella Spiralis

It causes Myalgia and gastroenteritiis.

Larvae carried by blood and form fibrous cysts in skeletal muscles especially ( extraocular/ masseter/ tongue/ diaphram)

One of its caractaristic features is the periorbital edema

Its reservoir is pigs

It can be diagnosed by:
* eosinophilia
* striated muscle biopsy
* serology - for chronic infection

It can be treated by:
* mebendazole/thiobendazole for adult worms in small intestine
* no treatment to remove cystes from muscles
* steroids for sever myositis

important note:
Trichinosis is the most common parasitic cause of myocarditis

SOURCE: MICROCARDS

Salamat Eye-wink

helloyellow's picture
helloyellow
السنة الخامسة

opps Embarrased u caught my source Eye-wink
Quote:
There is another investigation could be made, what is it Question

هناك استقصاء آخر يمكن اجراؤه ما هو Question

striated muscle biopsy

خزعة من العضلات المخططة Eye-wink

and THANX for the full answer

Eye-wink

SAMO's picture
SAMO
السنة الخامسة

Keep on

nice idea

nice source

and nice manager ( i mean you SAMO)

SalamatEye-wink

helloyellow's picture
helloyellow
السنة الخامسة
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